International Nurses and UK Nursing

One of the topics that is raised frequently in the UK and International forums is how does an international nurse go about working in the UK ... Nurses Announcements Archive Article

... The replies are often negative and in general try to convey how very difficult this is. There are lots of hoops to jump through and currently the economic situation in the UK is very grim, this means that jobs anywhere are scarce and our government is trying to keep UK citizens in work, therefore making obtaining a work visa more difficult.

Before even being considered an international nurse will need to gain UK registration, this is done via the Nursing and Midwifery council, this organisation has the responsibility to register and regulate all registered nurses and midwives in the UK. The http://nmc-uk.org is very informative and will give you information about what you will need to do to register, as well as details of the code of conduct, and other documents that structure our practice in the UK

The booklet which informs international nurses of what is needed to register can be found here

The register is divided into 4 different parts

  1. Adult
  2. Mental Health
  3. Child
  4. Learning disabilities

Before your application is processed you will have to pay an administration fee, and provide the required documents, this will include evidence of you passing the ILETS (the minimum score accepted is and average of 7)

You should have been practising as a nurse for at least 12 months, and if you have been qualified longer than this then you must have done at least 450 hours in the last 3 years.

There are also some specific requirements to register as a nurse in the UK, these can be found on the NMC website.

You will also have to complete and Overseas Nursing Program (ONP) with supervised practice days before you are allowed to register.

Before then being able to work in the UK you will need a work VISA as no Employer within the UK is legally allowed to consider you for work without one, as employers we are legally obliged to give work to citizens of the UK then EU first and only if the positions cannot be filled from here are we allowed to consider overseas applicants.

You are only able to apply for a VISA if you have sponsorship from a UK employer, and although the Immigration and VISA has been changed to a points based system it is actually designed to make it more difficult for international applicants to get work.

Nursing is no longer considered as a shortage occupation, unless you have significant experience in areas such as critical care or theatre specialities at a very senior level. (Band 7 and above)

If you take a look at the Borders Agency Website you can see that overseas nurses and midwives are listed as Tier 2 and will only be considered if you already have a job offer from an employer.

There have been some discussions on the international areas about studying and working in the UK, this is covered by different immigration regulations so I will address this in a different blog.

im going to look into international nursing. thanks for the post

Specializes in Theater nurse.

hi sharrie

i am a registered nurse in the Philippines and im waiting my decision letter from NMC. Im already here in UK as student taking up HND in health and social care. it is possible, if i will be approved by the NMC, to do my ONP here while im studying in college? it also possible, if i finish my ONP ang got my pin number, to find employer who will sponsor me to convert my student visa into work permit and work as a nurse here? i have part time here as carer. i also heard about BUPA they are giving certificate of sponsorship for nurses trained abroad and succefully finish their ONP.. i hope i will be approved by NMC. wish me luck sharrie.. Thanks.. hey do you know any part time job for health care assistant in hospital? thanks again sharrie.

Specializes in Advanced Practice, surgery.

Hi Lime, I think you would find it difficult to study for the ONP and study for your HND. The ONP is going to require you to do some clinical work as part of the program, along with the studying and your HND it will be a great deal of work. I'm not saying it's not possible but I wonder if your setting yourself too difficult a challenge and would risk failing at both. You may also have to check with the borders agency as they will have allowed you a student Visa on the information you provided on the course your studying now, they may not wish to extend that to cover the ONP as well.

Your second question, IF you complete the ONP then you will still need to fit into one of the shortage occupation catagories to apply for a work permit, it's not just a case of transferring your Visa over. If you've been studying for the HND for the past few years then I am not sure that you would fit the NMC criteria for registration, did you work as a registered nurse before you came on your student Visa?

I am not sure about BUPA, but again they would only be able to sponsor those applicants who fit into the shortage occupations, so that would be operating department nursing, as I don't think BUPA have Neonatal intensive care units.

As far as part time jobs go, look at the NHS jobs website, they will all be advertised here

http://www.jobs.nhs.uk

Just a cautionary note, when I've advertised for health care support workers in the past I always get in excess of 50 applications from UK citizens, I am legally obliged to interview these before overseas applicants therefore I am not sure how much luck your going to get

I am sorry it all sounds so negative, Good Luck I hope you manage to achieve your dream

Specializes in surgery.

Hi. I was very pleased to find this blog. Thank you for all of the information that you have provided so far. Here is a little bit about myself:

I am currently working as a RN, BSN in the US and will have two years experience at the time that I move to the UK (hopefully). I am a circulator/scrub/anesthesia nurse in the operating room (theatre nursing) and do have a wide range of cases and specialties of surgery that I do on a regular basis in a tertiary hospital that regularly runs 26 operating rooms and most of our patients have many comorbities. I also carry a ACLS certification (advanced cardiovascular life support), which of course provides me with the skills needed to administer life saving drugs and defibrillation when needed.

I am aware that the specialty nursing that I do is on the shortage occupation list for the UK.

I am also aware of the english proficiency test, the request for NMC application, and then the actual application and paperwork that needs to be sent in. I am also aware of the ONP, which I have already located the University of Bournemouth which I will be attempting to go through to take the course.

With all of that said, and thank you for reading all of it, I am a little confused about when to apply for a job in the UK.

Should I wait until I receive my decision letter from the NMC?

Once I receive the decision letter, how long do I have until I have to take the ONP?

The University of Bournemouth requires that I take the ONP within two years of receiving my decision letter, however, I am unaware of the NMC requirement.

Thank you for any information that you may provide as I would like to get this started as soon as possible to be sure it is completed in time but not too soon as to miss any deadlines that may be imposed upon me.

Kindest regards,

Specializes in Advanced Practice, surgery.

Hello Helricha, I hope I can answer some of your questions.

Should I wait until I receive my decision letter from the NMC?

Yes the NMC process can take as long as 2 years to complete, although I've not actually been through it my colleagues from overseas tell me that it is an extremely complex process. You will first need to send an administration fee and documents to begin the process. If all is correct you will be sent an application pack and you have 6 months to return this. If you meet the requirements then you will be given a decision letter at which point in order to complete your registration you will need to undertake the ONP.

Once I receive the decision letter, how long do I have until I have to take the ONP?

I think it's 2 years, but you should check with the NMC

The University of Bournemouth requires that I take the ONP within two years of receiving my decision letter, however, I am unaware of the NMC requirement.

This sounds right, that's what I understand the requirement to be as well.

As far as when to apply for a job in the UK, unless you are a UK or EU citizen I think your going to need an employer to sponsor your work visa, and if you fit into the shortage occupation list you may well find that some employers would be prepared to support you through the ONP.

Get your NMC stuff in progress and then investigate a little further, I know many nurses have used agencies to help them and I guess there may be some mileage in looking into this but just be cautious as many of these agencies may well ask for money to do this and I am always suspicious of companies that want money up front without any guarantees.

Look at the NHS jobs website, there is a link in my first few posts in the blog, it will give you an idea of what jobs are available now and which areas may be looking to recruit from overseas.

Please keep us posted on how you get on

Hi Sharrie, thank you for sharing so much information. I have a couple of questions and hopefully you wouldn't mind answering them. I'm a NZ registered Psychiatric Nurse with over 20 yrs experience ( also have irish citizenship). My question is will I have to complete the ILETS even though English is our first spoken language? Also,are there many jobs in the Mental Heath Sector at the moment? Thanks in advance

I am currently doing a ADN in Iowa USA I am on a F-1 student visa and come from Essex england originally so my question is what would happen if I can't extend my student visa or find work and have to come home?? Will I be able to work in a hospital back home in England with my associates degree??? Or just have to take a top up course?!

At the end of the course I will be a qualified RN

Specializes in Advanced Practice, surgery.

If you have to return to the UK, I assume your ADN is a 2 year course if which case it won't meet the NMC requirements for registration. If you look at one of the links in my first post you can find what is needed. To work as a nurse you'd need to register with them, you also need to have worked fir a year after qualifying to meet the overseas educated nurses standards for registration so you may have a problem if you can't work in the US.

I don't think you'll be able to top up here either as a 2 year nursing course would not be recognised. I'm not sure if you could do it online as I think the clinical hours for the ADNs are insufficient to meet NMC standards.

Hi All! I see that these posts are from several months ago. I was wondering if the economic conditions in the UK have improved making it somewhat easier for international nurses to get jobs there? Also, if I am a native English speaker, will I still need to complete the IELTS exam? I took a look at samples of it and it looks easier than taking college entrance exams. One last question to see if I understood the NMC guidelines, after my application is accepted, I am to travel to the UK and attend the Overseas Nurse Program at a University which is 20 days long and then supervised clinical practice which is how long? With a work Visa, will I be able to find a side job while completing the program/supervised practice until I can work as a full time nurse in order to pay for living expenses? I read that employers are LEGALLY obligated to hire citizens and the Europeans first before international workers. Would they accept that my ancestors were English? That last line was meant to be funny. Thank you and I appreciate any information. Best Regards.

Specializes in Advanced Practice, surgery.
hi all! i see that these posts are from several months ago. i was wondering if the economic conditions in the uk have improved making it somewhat easier for international nurses to get jobs there?

i'm afraid not you need to work in a shortage occupation to be considered for a job in the uk and there are very few shortage nursing specialities listed.

also, if i am a native english speaker, will i still need to complete the ielts exam?

yes as an overseas nurse it's one of the requirements but as an english speaker you'll find it a breeze

i took a look at samples of it and it looks easier than taking college entrance exams.

one last question to see if i understood the nmc guidelines, after my application is accepted, i am to travel to the uk and attend the overseas nurse program at a university which is 20 days long and then supervised clinical practice which is how long? with a work visa, will i be able to find a side job while completing the program/supervised practice until i can work as a full time nurse in order to pay for living expenses?

if your a full time student you can work up to 20 hours a week, i am not sure that this covers the onp though. some hospitals will pay you as an unqualified while you do the program but i think these are few

i read that employers are legally obligated to hire citizens and the europeans first before international workers. would they accept that my ancestors were english? that last line was meant to be funny. thank you and i appreciate any information. best regards.

ha, not unless you have a british passport. :)

Hi! What are considered the shortage areas? Would I qualify with 3 years Peds ICU experience?

Does anyone know if a RPN can work in the UK? If they can what is their qualification recognized as?

Thanks